Homestead_Reid INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER .
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Preparer of the Sales Disclosure Form Title
54 kr o ■
Address(Number and Street) Company
kiThrVIL \ . (AL o Sn t-1— fl a- 00
City,State,and ZIPCode Telephone Number E-mail
E.SELLER` _(S)/GRANTOR S _
l ask - 1 _ d .1k 1 - I r
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Sellfr I\Name a\appears lxcrwciyancc .Toument Se" N as• pe onantedocu t�- 303 • G% EzA1 54. co edM
Address(Number and Street) awe-..,t(Nnmhor••
HA ssntor n4. L0(937 1! (N 4 7(0 39 I
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as requ b law,and is prepared in accordance wit C•6-1.1-5. ,':•e:I 'w perty Sales Disclosure Act".
at74i "/ i. . _ Af1
Signature
ila of III V l I/Si Sjgn••re afSelle Day /• q-s c
(d�l[UAM DA [s t 4 �
Printed Name al-Seller Sian Date tMA/DD/rYll Printed Name of Sell Sian Date(NM/DIWITMl
F.BUYER t - L EE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTI 01 •LL ITEMS THAT APPLY
r conveyance•y.., t r -Na •as a conveyance•ocument
3 1 ). l� ; • . 1�t cc4-
A dress(A'umbe and Slr ) • dress(Number pnd Sheet r•
ups d ho y7� c�3 cft 1N FEE�t1,rprN/'
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION a , I C•,'• n( r
❑ 1.Will this property be the buyer's primary I 74 ❑ 3.Homestead IBSON C� N
residence? Provide complete address of primary 5 RI 4.Solar Energy Heating/Cooling Systeitt"ITOR
residence including county: ❑ n
103 UN. t CChh t -� m 5.Wind Power Device
NrCin \oc-a-so-e0 -\ \�� �C, ^Rem` ❑ ® 6. Hydroelectric ehmal Power eating
F l) Ll ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County '
ID ID Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Nj 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
o?lo -le -36 - 903 -0 tie). osy-oo?
City,State ZIPCode County
Primary property owner contact name E-mail